Provider Demographics
NPI:1225746407
Name:TRAVIS RODMAN CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:TRAVIS RODMAN CHIROPRACTIC P.C.
Other - Org Name:ORENDA CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRAVIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:RODMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:775-636-7611
Mailing Address - Street 1:465 S MEADOWS PKWY STE 3
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5946
Mailing Address - Country:US
Mailing Address - Phone:775-636-7611
Mailing Address - Fax:
Practice Address - Street 1:465 S MEADOWS PKWY STE 3
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5946
Practice Address - Country:US
Practice Address - Phone:775-636-7611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty